1. The Health Roundtable STREAMLINE PATIENT JOURNEY Presenter: Deborah Beckinsale Cancer Services, St George Hospital Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012

2. The Health Roundtable KEY PROBLEM  Patient Registration Delays  - Delays in Clinic presentation  - Clinicians waiting to see patients  - Patients did not have right information  - Waste of resources chasing information (eg 10 min/pt)  - Revenue - Specialist referral only valid 3 months  - Loss of Revenue  - Language barrier (interpreter)  Waitlist from 1 st clinic appt 14 days to 1 st chemo appt 9 days  Patient information, forms, authority script pad  Clinician packs variable  need to check  Drug approval process

3. The Health Roundtable AIM OF THIS INNOVATION  To streamline patient registration, ensuring accuracy of patient information  Reduce the time from patient referral to 1 st chemo visit by 20%  Maximise revenue

4. The Health Roundtable BASELINE DATA  Registrations on average take 25mins  Utilized ARIA by generating reports to capture minutes/hours lost to gain data  Revenue Reports to gain data  Use Quarterly Quality reports to gain data

5. The Health Roundtable KEY CHANGES IMPLEMENTED  Registration Pack designed with clinician involvement and sent to Consumer Committee for review and sent to random 10 patients (Need to review current use of pack)  Survey Conducted on New versus old patient registration by surveying patients  Allocated staff to New patient registration by re-engineering department  Redistribution of patients to appropriate location to decrease patient wait time

6. The Health Roundtable OUTCOMES SO FAR  Quicker Registrations (were 25 mins and now 7 mins)  Clinics operating in a more timely manner  Revenue maximised  Patients understanding of what is required  Increase in patient volume by 10-15% using existing resources

7. The Health Roundtable LESSONS LEARNT and NEXT STEPS  Change is good  How to sustain improvements  Need KPI to measure (use ARIA)  Incorporate into monthly business meeting  Staff are educated in changes  Auditing process for changes implemented